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Using Retinal Imaging to Study Dementia
Published on: November 6, 2017
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Regional variation in U.S dementia trends from 2000-2012
Jennifer A Ailshire1, Katrina M Walsemann2, Calley E Fisk1
1Leonard Davis School of Gerontology, University of Southern California, Los Angeles, USA.
SSM - Population Health
|July 20, 2022
Summary
Dementia prevalence varies significantly across U.S. regions, with the South consistently showing higher rates. Declines were observed nationwide, but regional disparities in dementia trends persist, influenced by education and health status.
Area of Science:
- Gerontology
- Public Health
- Epidemiology
Background:
- National dementia prevalence trends may obscure significant regional variations.
- Geographic disparities in health and socioeconomic factors can influence dementia rates.
Purpose of the Study:
- To investigate subnational variations in dementia prevalence trends in the U.S. from 2000 to 2012.
- To determine if sociodemographic and health characteristics explain regional differences in dementia trends.
Main Methods:
- Utilized data from the Health and Retirement Study (2000, 2012) with validated dementia classification.
- Employed logistic regression models to analyze dementia prevalence trends by region and census division.
- Adjusted for within-person clustering to account for longitudinal data.
Main Results:
- Significant subnational variation in dementia prevalence was found in both 2000 and 2012.
- The South consistently exhibited the highest dementia prevalence (14.6% in 2000, 10.7% in 2012) compared to other regions.
- While dementia prevalence declined nationwide, the South's 2012 rates approximated other regions' 2000 levels. Regional changes were largely explained by education and health status.
Conclusions:
- Subnational variation in dementia prevalence and trends is a critical factor in understanding U.S. dementia epidemiology.
- Education and health status are key determinants of regional differences in dementia prevalence changes.
- Future research and public health interventions should consider geographic disparities in dementia care and prevention.
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